HomeMy WebLinkAbout0005606-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
05606
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TYPE: BLDG ~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING!rri. FLOOD PLAIN~' HEIGHT V 11-
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ADDRESS
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PLAN NO. 0 ~ ~-t:J8 ..- ?B 7l'?
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONT~AGTOR O~ ~~ ~.
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Size ~i X~(p Sq. Ft. ~"4
Foundation ~lJ-t;-yt:>.efl
. .
# Rooms
-4 I- (btifk. # Stories
Class of Const. 8:;
lJo; h.J..F Height ~(J
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Occupancy Permit 'rc:. ~ ;tJ
HEATING CONTRACTOR v!3 1:::>
He~t 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ;- ~ t:::>
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
T73D
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
FEES: Valu .
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..L '-" Park Dedication $ t to l../
<I - ::>. ;.( . 8>'7. Final/O.P. I ~ f! -'i? g
ISSUED B
Date
SIGNATURE
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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TELEPHONE #
ADDRESS
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City Of Oshkosh 1/1/85
Address
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PARKLAND DEDICATION FEE COLLEctION RECORD
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Owner's Name
Name of Subdivision
Lot II
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Bldg. Pennit #
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No. of Units
Fee Required
Fee Paid
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Owner' s s;gn~ture
Inspector's signature
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Parks Subdivision
Improvement
Accts. Rec.: 362-041
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State of Wisconsin
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101.63,101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLlCA TION
APPLICATION N
(See Instruction on back)
PARCEL NO.
D HV AC
DELEC
DPLUMBING
Telephone
2..:J..:J- - .57P /
Telephone
%, SECTION
,T
Lot No.
N, R, E(or)W
Block No.
Right
Basements
Livi ng Area
Garage
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other MuncipalOrdinances and with the conditions of this permit; understands
that the issuance of the permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information is
accurate.
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
DATE
z;- 7-)7
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca-
tion of this permit or other penalty.
Municipality Number of Dwelling
Location, if different
Plan Review . . . . . . . $
Inspection. . . . . . . . $
Wis. Permit Seal(s) . . . $ :5t)
Other. . . . . . . . . . . $
TOTAL. . . . . . . $ 70
01 LHR,SBD 5823 (R. 11/84) WHITE - Issuing Jurisdiction
onstruction
DHVAC
D Electrical
DPlumbing
DOther
NAME
DATE
~77
CERT. NO.
YELLOW - DILHR
GREEN - Inspector
PINK - Owner/Agent
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ZCNING/LAND tJSE COl'-1P!.I1\NCE t:HEa<uST
I.
GENERAL
Building Pemit i ZO~ 'i 16 Confot:ming_ Non-<'onfoJ:mi.ng_"
Job Iocation'2:..-Ce (,S (-let MA. r' /1-0/1 . Io:t Di.1mnsion
Property Owner Ef2.. J4- ~ j ~~;fA &~ e 'fr..;~ Iof; Area .
II. . tmST1U:'l'Ial DATA
Desc::ri.be H:Jrk:
G-<\. r-;.
(;A./!' ~ ~ r ~.cr b~-.f:
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AvJ .s~C2
>. NEW a:NSTRt1CTICN
AODITICN-
- AItmRATIai
~lE!' Famil: .
_'. '':7 Y
_ '1\.lo-F~y
_ ~iIt:i.~Famiiy
-~,
__ ~Ufact~~_
..
~Accesso ;b1i'~';.-
- ry ~~
Fence
Boathouse
_ Otility Structure
_ Other (specify)
In. ~ cm:o<s
Pool
_ Oeck/Patio
--...:.. Sign
Porch
Carclies Deficient
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Use
Iot Width
Iot Area
Floodplain _
Front Yard
Rear Yard
Side Yard (R)
Side Yard' (L)
Parking
Building Area
Iot Area per Family
Comer lot
Other (specify)
Deficiency /CoIments
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IV. RE.VmW AtJIF.ORITY
The Pla.nn.ing Dir-~...or, or appropriate designee, ImlSt approve all plans, except
the following: (1) Alterations or interior w:Jrk when the use is confo:cning ani
when no change of use is proposed. (2) Maintenance items, e..g~*"~wi.nda-Js:f;-
ete., when t:.~e use is confo:r:ming am ...men rD chan<ge of.. 'use is. prcpo.s.ed:..
Instances where work ca:rplies with the aJ::ove critet.:ia~ t:ne. p$:mi..t ctm. ,l:e revie.-.'ed
by the Building Inspector without referral to the Planning DirectOr.
~PROVED
NOT APProvED
Plan Corrmi.ssion Action Required
Variance (s) Required
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ONE- & TWO-FAMILY DWELLING
PERMIT TO START CONSTROCTION
Permit No.: SbO {
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FEE $ 30 IN ADDITION TO PLAN EXAMtNATION/lN5PEC'nOI\lFEES
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TELEPHONE
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I, the undersigned, request to begin footing and foundation work prior to the approval of the plans and issuance of the
UNIFORM BUILDING PERMIT per Ind 20.09(5)(b)2.
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I have reviewed the specific code requirements of the Wisconsin Uniform Qwelling Code, Chapters Ind 20, Ind 21, Ind
22, Ind 23, Ind 24 and Ind 25, as applicable and have shown compliance on the drawings.
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I agree to make any change required after the plans have been reviewed and to remove orreplace all noncode complying
parts of the footing and/or foundations,
I agree to proceed with the footing and foundations only and will not contin,ue with the remainder of the dwelling until
approval and a BUILDING PERMIT has been issued,
NOTE: Complete building plans are needed for issuance
of this permit. Footing and foundatipn plans submitted
prior to final plans will not be accepted for issuance of
this permit.
I also understand that prior to the start of any consJruction, a zoning permit and a domestic septic permit has been
obtained form the local authorities haVing jurisdiction in accordance with their laws and ordinances.
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OWNf'R/AGENT SIGNAT~~'-.'-" "
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DATE
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DATE
9' -::>:r. S.
UNIFORM BUILDING PERMIT APPLICATION NO.:
ZONING PERMIT NO.:
SEPTIC PERMIT NO.:
AUTHORITY HAVING JURISDICTION:
I
ISSU D D TE (:>.
6 - 5:'''"'''-7.
7' ~'. ...:). v f
NOT ISSUED BECAUSE:
TITLE ,
/3v \' .P, r,
FEES RECEIVED
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DILHR SBD-6072 (R.10/801
INSPECTOR
'PERMIT NO.
N'OTI C E
;2..(/5 ~,/~-
ADDRESS
(A)
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The Building Inspector, Heating Inspector, Plumbing Inspector, ~? ,(
and Electrical Inspector shall make a final inspection of all .~.~~ 1~
new buildings, additions, and alter~tion~. If no violation of ~ ~
this Chapter or other laws or l8:wful orde. r.s be found, the Chief ~' '.
Building Inspector,shall issue a Certific'a.te of Occupancy, ' . .
stating the purpose for which the building is to be used~ also e::..r-]
the maximum load and maximum number of pe..rsonstha. t may acc- ).. I "7 r/C:::(
omodate on each floor thereof and also that the building or l l ~
premise or part thereof and the purposed use thereof are in
conformity with the provision of Chapter 30 on Zoning and
City Planning, as required by Section 30-27 (C) of said Chat:---
NO BUILDING OR PART THEREOF SHALL BE OCCUPIED UNTI1. SUCH
CERTIFICATE HAS BEEN ISSUED. NOR SHA1.L An BUILDING BE occm
IN ANY MANNER. WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
SECTION 7-32 CERTIFICATE OF OCCUPANCY TO BE ISSUED
PReSENT THIS CARD
FOR OCCUPANCY peRMIT
'>
THIS BUilDING SHAll R
NOT BE OCCU PIED U NTll OUAPpTRI~
FI NAl INSPECTIONS o;~t~~~H ~!
~~~~ ~:~~ ~~~~D A~$~=l~~t~~~
THE FOllOWING IN INSPECTI017MAY 8E
SPE.CTOR'S r.' ARRANGED BY CALLING
I. . J 236 - 5050.
B U I L DIN G ( , /1//
I ' ",4, D ATE
ELECTRICAL,'~ DATE riJ.~O\'6l
HEATI.NG ~fi~
PLUMBING
FIR E
TO
Code Enforcement Division
Room 205, City Hall
Oshkosh, Wisconsin 54901
ROUGH PI
APPR
City of I
OSHKOSH I
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ATE
DATE
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DATE
* NOT APPLICABLE TO 1 AND 2 FAMILY DWELl..TImS
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. p, ~TATE OF WISCONSIN
Department or Industry, Labor and Human Relations
. Safety and Buildings Division, Madison, Wisconsin 53707
BNERGY WaaXSHEBT
JOB NAME: X(c'L*~~k SLDESIGN~R:. Jt!-1 .. .
LOCA TION:, ZONE : DATE.
,.., INSTRUCTIONS: This worksheet is recommended for determining conform-
ance with the Unirorm Dwelling Code's Energy Conservation Standards.
i Dwellings may be evaluated by the System Design Method or the Accept- f
able Practice Method. Heat loss thru basement walls and rloorswhere
'insulation is not required by code may be included in furnace sizing
.. calculations at the option at: the designer. System Design heat losses
not exceeding the losses determined thru the code requirements by
more than I % are'consi~ered acceptable.
.. area-.calc
GROSLWALL AREA:
(00)(., 6.B3> IDCOb
IICO K.~ - ~
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lations
FOUNDA'rION'WALL ABOvE GRADE:
\It:, '( 11...0<":' :::: 11.1>'8
\538. sq. ft.
WINOOW (.AREA:Oglass size 0 unit size
7~ sq.ft.
FOUNDATION WALL BELOW GRADE:
lit:.) tz. ~ = :Y5\.j
\5q sq. ft.
.. 35 " sq. i't.
FLOORS OVER UNHEATED AREAS:
~ u..m\ \ ('\)~r
DOOR AREA:
30
...... ..... .
aD sq. ft.
sq! ft.
CEILING AREA: NET
\J..)i no(YJ:)s
~D::f
{Xrl i ()
(OPAQUE)WALL AREA:
15'3~
1::1-f
Cb
YO_
OTHER:
OTHER:
-=&d--l sq. f t.
1'3\f\ sq. ft.
sq. f t.
sq. ft.
'. Form No. 58D-5518
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VALVES
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INSTRUCTIONS: Calculate Rand U values using 'l'ABLE J\.-JI in Vwelllnc;
.. '. .Code: Book. Separate calculations for systems having the same insul- '.
t. .' ation "but different interior or exterior finishes is not necessary., . .
t' :: provided' the system wi th the lowest R value is used in the System' . >
. Design or Accepted Practice calculation.
.'
wall type 1 typ'e 2
cay sol cay sol
q. .... . -. - . -" .... "- _.~ - - - . . . ..
exterior film ..17 .17 .17 .17
..
siding .:D .20
sheathing .Y5 ,45
insulation Old xxxx xxxx
~.
framing KXXX (p.g'1 ~xxx
into finish tl.l~ .42>
interior film .68 .68 .68 .68
.. -,.. - . .. -- --- - -_. ..-. " ...
TOTAL R o;4.as q.\d
" U" = l/R .Ot.ll \ \tfl
Pr
~
fdtn above grade \.ralls
cav sol cay sol
e.xt~rior film .17 .17 .17 .17
. oJ- .p .t:t"'i-~ h ,5D
'-'--..:-<T . ... '-J<'ll "I
.."... -,"\Ii {\G J l\5 .lD~ ~'ff\\
,,""".....
wee-d ~
-.
into finish . '-Is , "' . .lIS
int!:.lrior film .68 .68 .68 .68
Insulation ~ 5
TOTAL R ~q,26 \o~y
"U" = l/R I.CHI, JL\~
...... ....1. ....... .... ..... ....,.. ......,., .. ..
roof type 1 type 2
cay sol cay sol
exterior film .17 .17 .17 .17
ext. finish .
insulation
framing xxx x 4.~ xxx x
, . . . ..- .
insulation '50 32.qs
into finish .55 ,55
interJor film .61 .61 .61 .61
. ..
TOTAL R 51,33 l\l\.~~
II u" -_.. l/R I b\q . ())O
other WfyF \ rY..ieY'
-
cay sol cay sol'
-
exterior film I I '1
ext. finish I I ')
insulation /q
.
into finish .'55
interior film .~
'1'0'1'1\ L n ~(,I&
""1:""""K>O~""'-"'..,. .,...._____..
U = l/R .().J,/
.base ment * 1st thru 3rd foot 4th foot below grade
be1m-f c;rade to basement fIoor
_U' L4~.. ~ I. - , -
no insulation .2DS .09J.I
walls R 5 rigid board .113 .063
R 11 fiberglass 0!f) ~
w/ 2 x It framing
__4:. ~, "
floors no insulation .025 .025
."
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INSTRUCTIONS: for completion of acceptable practiae method, please refertoUri.'ffo.rm
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3.
WINDOW GLAZING:[]Single w/storm DOORS: BOS u1a t od S to 1NO :8"OOd (R . 77)
WALLS ABOVE' DInsulated glass L Solid wood alum(Rl. 82).
FOUNDATION DTriple pane Uninsul w/storm
HALL
INSULATION TYPE: HINDmr AND DOOR AiREA PERHITTED %
..
...... GROSS WALL AREA(from worksheet, page 1) = square feet.
GLASS/DOOR AREA(from worksheet. page 1) = square feet.
, PERCENT WINDOH/OOOR AREA = glass/door area
PERCENT WINDOH/DOOR AREA = glass/door area + gross '-1all area = %
:::::C::C:-...
:
INSULATION TYPE: R VALUE (per inch)
CEILING
~. . - REQUIRED " "oller
THICKNESS(per table A-J): in cavity ___ framing
-,.." ..>
. .
FOUNDATION WINDOW GLAZING: Dsingle Dsingle w/ storm Dinsulated (double)
WALL. INSULATION TYPE: R VALUE
---- feet.
EXPOSED FOUNDATION AREA(from worksheet, page 1) = square
(walls must TOTAL FOUNDATIOn AREA(includes above & beloH grade):::: square feet.
be insulated PERCEHT EXPOSED = Exposed foundation ~ total fdtn = square feet.
to be in con- PERCENT WINDOH AREA PERHITTED(see Table A-Z) = percent(%)
formance.) PERCENT HINDOW AREA(window area + exposed area) = ~_..___-'yercent (%)
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INFIL TRA TIQIf
VOLUME CALCULATIONS: LEVEL VOLUHE CON. TD AI C'~ BTUIl HEAT LOSS
'i5lolJ 1- 8.. 53 Basement .01S
<g rxe. X <6, g ~ Level 1 1 (tJd1 .la .018 85 15 '5 ~3l " , ~fl(a5
Level 2 13\ \ I 8\.\ .018 65 ,5 s59 ?..rf'tffi
Level 3 .013
*AIR CHANGES. Recommended changes between .25 and 1. 00 INFILTPATION
\\ \~cA. 315
depending on type construction, number of openings, HEAT LOSS
weatherstripping, caulking etc.
FUIlNACIi:
SIZJ!:
ALLOWABLE HEAT LOSS(from page 3)
INFILTRATION LOSS(from above)
BASEMENT HEAT LOSS (from page 3)
TOTAL DWELLING HEAT LOSS:
'5) Q'Sq /}'5'7
11.4~q I 2/15
I
18dO,4
TOTAL DHELLIllG LOSS
x
1.15
'/(
HAXHm7. FTJRNACE SIZE
FUrWACE SPECIFIED
*
.. .
* Furnace output
.J"'t _
". SYST'E1VI
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CONSTRUCTION HEAT toss
DESICK heat loss in
AREA " U" . TD BTU per hour
tyoe cav. (...~..J~ _ x 85 %) \ \ab,3 .CJ--\\ 1:>5 . 310Y . !}lJ5S
walls 1 sol.( .\~\R x 15 %) Igf).L , \ t)Cl ~5 l'it ~I . v<}as
type cav. ( x %)
.
2 sol, ( x %)
type ca v . ( "bloll x go %) '1')'),~ ,Dlq 1?5 1~''55. '&dq
roof 1 sol. ( ~loy x tb %) ~ 1o.Y .DdO> 15 \ Lc \ . 5lo~
type cav. ( x %)
... 801.( %)
2 x
Fdt 1 above grade walls is .OL\L 1,S dll.1> ~
11 2 below grade(3 feet) 3EJ..f I 'Ll~ 6D* ~5l.t~.~
3
~
Klass 1 windows [54 I c;A\.j gs 2> ~'-I <t . \J(~
2 patio doors t..\O . d,Cj LJ ~ 9qq . (p
--
3
,
doors 1 cb:rs> c9D I /35 7;5 d. aQ.5
2
a~ ~~ 1er 1 ~OJ\-1\ \{ \Jet'" 5a 1D4'1 15 ~ C\ '1 ,")l}
.., 2
TOTAL \S\d~q'd5l
CODE COMPARISON
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ADJUSTMENT FACTORS COMPONENT AREA CODE TD BTUH LOSS
FOR WOOD FRAMING II U"
cc studs joists walls above fdtn \~3~ \ \"C\ "65 l?v'Oil."Lj
,....
12" 20L ~~ walls above grade
16" 15% 10% fdtn above grade 18 .25 '65 Ho 12tl. S
2L~ " 10% 7% fdtn above grade
fdtn below grade(3' 35y .20 50 ,'( 3540
roof/ceiling '1? Coy .029 't5 altfi.l L,
ClAnt i \e \) ( r 5a Im1 85 34b,Z}/
ALLOWABLE .()
HEAT LOSS d31~'O
'. ...j.. ......... 0.""'"
base. COMPONENT AREA "Uff ** 'I'D * BTUH LOSS
walls more than 3 feet '6Q ,Dld m \~ .l-\
ment beloH grade
floors. ~U\j .c)'dS fY) ID<UJ
'*TD = tnside temp. minus 20 ,degrAes HEAT LOSS IQ dD."-\'
**From table on nag@ P-
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